Individual
MATTHEW JACKSON MOSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
810 E SUNFLOWER RD, SUITE 150, CLEVELAND, MS 38732
(662) 843-4990
(662) 843-4954
Mailing address
810 E SUNFLOWER RD STE 150, CLEVELAND, MS 38732-2800
(662) 843-4990
(662) 843-4954
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT6261
MS
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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